Provider Demographics
NPI:1275861007
Name:MHCTI LLC
Entity Type:Organization
Organization Name:MHCTI LLC
Other - Org Name:STEP TWO RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/ MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-988-3376
Mailing Address - Street 1:23844 S POWER RD
Mailing Address - Street 2:SUITE 102-115
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-6152
Mailing Address - Country:US
Mailing Address - Phone:480-988-3376
Mailing Address - Fax:480-988-4371
Practice Address - Street 1:3771 E BROOKS FARMS RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-5811
Practice Address - Country:US
Practice Address - Phone:480-988-3376
Practice Address - Fax:480-988-4371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH 26073245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children